Individual
DIANA RABKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 SOUTH ST, SUITE 102, SOUTHBRIDGE, MA 01550-4051
(508) 765-7860
(508) 765-7861
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
203917
MA
208000000X
Pediatrics Physician
46732
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34566800
—
WI
Enumeration date
07/13/2006
Last updated
12/18/2014
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